Provider Demographics
NPI:1285997767
Name:LAFAURIE, GERMAN EDUARDO (MD)
Entity type:Individual
Prefix:DR
First Name:GERMAN
Middle Name:EDUARDO
Last Name:LAFAURIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2147
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33902-2147
Mailing Address - Country:US
Mailing Address - Phone:239-424-1400
Mailing Address - Fax:239-424-1421
Practice Address - Street 1:13279 N CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:NORTH FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-4818
Practice Address - Country:US
Practice Address - Phone:239-652-4111
Practice Address - Fax:239-652-4105
Is Sole Proprietor?:No
Enumeration Date:2012-06-20
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME124136207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine